General or local anaesthesia for carotid endarterectomy?
نویسندگان
چکیده
منابع مشابه
Local versus general anaesthesia for carotid endarterectomy.
BACKGROUND Carotid endarterectomy reduces the risk of stroke in people with recently symptomatic, severe carotid artery stenosis. However, there are significant perioperative risks which may be lessened by performing the operation under local rather than general anaesthetic. This is an update of a Cochrane review first published in 1996, and previously updated in 2004. OBJECTIVES To assess th...
متن کاملAnaesthesia for carotid endarterectomy - general or loco-regional?
Carotid endarterectomy has been widely used for the surgical treatment of carotid stenosis, and may be performed under either general or loco-regional anaesthesia. The greatest risks of carotid endarterectomy are the neurologic complications and the myocardial infarction. Anaesthetic and surgical techniques are constantly under scrutiny to try to reduce the relatively high incidence of morbidit...
متن کاملIntraoperative Monitoring Modalities for Carotid Endarterectomy Under General Anaesthesia
Stroke is the most significant perioperative risk for patients undergoing carotid endarterectomy (CEA). Patients are accepting a greatly increased short-term risk of stroke in return for a reduced risk over the subsequent years. The causes of perioperative stroke are multiple and include emboli, technical problems such as intimal flap, intraoperative cerebral ischaemia during clamping, and post...
متن کاملRegional anaesthesia for carotid endarterectomy.
Summary Regional anaesthesia is a popular choice for patients undergoing carotid endarterectomy (CEA). Neurological function is easily assessed during carotid cross-clamping; haemodynamic control is predictable; and hospital stay is consistently shorter compared with general anaesthesia (GA). Despite these purported benefits, mortality and stroke rates associated with CEA remain around 5% for b...
متن کاملRegional anaesthesia for carotid endarterectomy: an audit over 10 years.
BACKGROUND The aim of this retrospective study was to compare the failure rates and the frequency of anaesthesia-related complications of two different methods of regional anaesthesia used for carotid endarterectomy--cervical epidural (CE) anaesthesia and cervical plexus block (CPB). METHODS The study included 1828 carotid endarterectomies performed in 1455 patients between 1996 and 2006. A c...
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ژورنال
عنوان ژورنال: Continuing Education in Anaesthesia Critical Care & Pain
سال: 2012
ISSN: 1743-1816
DOI: 10.1093/bjaceaccp/mkr061